Tag: Magdalena Sobiech

Kinesitherapeutic procedure in the treatment of scoliosis

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz

Piotr Kwiatkowski, Magdalena Sobiech, Marek Fatyga, Andrzej Skwarcz – Kinesitherapeutic procedure in the treatment of scoliosis. Fizjoterapia Polska 2001; 1(3); 298-302

Abstract

Varying kinesitherapeutic procedures are used In children with scoliosis, depending on whether the child is begin only by exercises, or by exercises and brace, or is begin prepared for surgery due to progressing deformation. In the case of children treated conservatively, primary emphasis is given to asymmetrical strengthening exercises for the dorsal muscles and peripheral joints, preceded by stretching exercises for antagonistic muscle groups. Simultaneously, exercises are performed to increase the range movement in the spine (kypholization of the thoracic spine, derotation of the thoraco-lumbar spine) and peripheral joints. In scoliosis exceeding 25-30° with documented progression, orthopedic braces are also used to prevent further progression of the curvature. In such cases it is a separate problem, when the child should exercise in the brace, and when without.Kinesitherapy in children being prepared for surgery differs significantly from that suitable for children in conservative treatment. Here the primary focus is on relaxing, elongating, and the spine. This is achieved by applying an autotraction bed for several hours, along with autocorrection of posture and passive chin-ups. By means of stretching, relaxing, and swimming poolexercises, along with the application of physical agents, the maximum relaxation of the spine’s active and passive apparatus is achieved, so that during surgery the maximum correction of curvature can be obtained while maintaining neurological safety.

Key words:
Scoliosis, kinesitherapeutic procedure, progressing deformation
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Kinesitherapy following spinal injuries with or without damage to the central nervous system

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz

Piotr Kwiatkowski, Marek Fatyga, Magdalena Sobiech, Andrzej Skwarcz – Kinesitherapy following spinal injuries with or without damage to the central nervous system. Fizjoterapia Polska 2002; 2(3); 257-260

Abstract
Based on many years of experience in the rehabilitation of patients with spinal injuries in Lublin, the authors present a model of kinesitherapeutic procedure from the moment of injury to the completion of treatment. The first section of the work discusses kinesitherapy in the treatment of spinal injury patients without neurological injuries. Kinesitherapeutic procedures are clearly presented depending on the choice of non-surgical treatment: functional therapy without internal fixation, functional therapy after the application of internal fixation, and functional therapy after the application of direct cranial traction. It is emphasized that in the case of patients requiring surgery with internal stabilization it is essential to prepare the patient with respiratory exercises and isometric contractions to strengthen the muscles of the back and abdomen. The second part of the article deals with kinesitherapy for spinal injury patiets with CNS damage. The authors point out the differences between various exercises depending on the neurological level and the symptoms occurring, as well as the period of time elapsing after injury. These periods are divided into: (1) from injury to verticalization, (2) from verticalization to discharge, (3) ambulatory period (return to family and society). At each stage of procedure the cooperation of the rehabilitation team is very important, as well as the use of orthopedic equipment in limb dysfunctions of varying degree.

Key words:
kinesitherapy, Spinal Injuries, Central Nervous System

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